0801T — Tcat Rmv&rpl 2chmbr Ldls Pm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tcat rmv&rpl 2chmbr ldls pm (OTHER 0801T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0801T?code_type=OTHER
MLA (9th ed.)
“Tcat rmv&rpl 2chmbr ldls pm (OTHER 0801T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0801T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tcat rmv&rpl 2chmbr ldls pm (OTHER 0801T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0801T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,714–$27,879 (25th–75th percentile) across 530 hospitals · 634 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0801T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $76.53 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE STANDARD | MIDLANDS CHOICE STANDARD | $80.89 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | $80.89 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $56,333.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $101.40 | $56,333.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $104.00 | $56,333.00 | — | 2024-12-31 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $66,905.00 | $36,797.75 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $66,905.00 | $36,797.75 | 2025-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | HMO | $168.00 | $56,333.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | WC | $174.00 | $56,333.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | HMO | $181.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | HMO | $181.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | WORKERS COMP | $188.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | WORKERS COMP | $188.00 | $56,333.00 | $19,071.16 | 2025-12-31 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Humana Tricare | Commercial | $726.57 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Humana | Medicare | $779.55 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $787.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $837.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $867.00 | — | — | 2026-04-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | HMO | $881.00 | $56,333.00 | $21,127.41 | 2025-12-31 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $883.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $893.25 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $894.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $943.22 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $943.22 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $943.22 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $943.22 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $951.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $980.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Nemours Research | All Products | $983.45 | $11,998.00 | $7,438.76 | 2026-02-06 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $992.50 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS-ALL OTHER PLANS | BCBS-ALL OTHER PLANS | $992.50 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $992.50 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS COMM/EXCH - ALL OTHER PLANS | HEALTH PARTNERS COMM/EXCH - ALL OTHER PLANS | $992.50 | $1,985.00 | $1,290.25 | 2026-08-10 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $993.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $1,042.00 | $56,333.00 | $21,127.41 | 2025-12-31 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Anthem Bcbs | Individual On Exchange | $1,055.00 | $49,199.00 | $34,439.30 | 2026-07-15 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | TennCare Select Medicaid Managed Care Plan | $1,073.14 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $1,081.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $1,081.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | BlueCare Medicaid Managed Care Plan | $1,131.95 | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Bcbs | Blue Advantage Hmo | $1,141.58 | — | — | 2026-04-01 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $1,169.00 | $26,905.65 | $26,905.65 | 2026-10-13 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,293.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,299.98 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,299.98 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Exchange | $1,318.00 | $47,807.00 | $28,684.20 | 2025-12-15 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Anthem Bcbs | Traditonal,Hmo,Ppo Contracted Plans And Individual Off Exchange | $1,319.00 | $49,199.00 | $34,439.30 | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK OutpatientFacility | Bcbs | Hmo | $1,351.30 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS OutpatientFacility | Bcbs | Hmo | $1,351.30 | — | — | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Custom | $1,445.00 | $47,807.00 | $28,684.20 | 2025-12-15 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,453.38 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,453.38 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $1,513.46 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $1,513.46 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $1,535.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK OutpatientFacility | Bcbs | Ppo | $1,556.70 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS OutpatientFacility | Bcbs | Ppo | $1,556.70 | — | — | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Customer Specific | $1,564.00 | $47,807.00 | $28,684.20 | 2025-12-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Hst | Commercial | $1,589.37 | $54,816.00 | $5,481.60 | 2026-08-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $1,597.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo | $1,599.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $1,617.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $1,617.80 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | $1,643.18 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | United Healthcare | All Products | $1,649.00 | — | — | 2025-05-02 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Blue Essentials Hmo | $1,653.99 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $1,653.99 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $1,653.99 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $1,662.00 | $47,807.00 | $28,684.20 | 2025-12-15 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | United Healthcare | All Commercial Plans | $1,679.00 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | United Healthcare | All Commercial Plans | $1,679.00 | — | — | 2026-04-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | PPO/HMO | $1,700.00 | $47,807.00 | $28,684.20 | 2025-12-15 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Blue Shield | Hmo/Pos | $1,711.00 | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Blue Shield | Ppo/Epo | $1,711.00 | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | Epn Exchange | $1,726.45 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,727.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,727.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Other Commercial Plan | $1,732.26 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Other Commercial Plan | $1,732.26 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Tandem Other Commercial Plan | $1,732.26 | — | — | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | $1,740.73 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | $1,740.73 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | $1,740.73 | $54,816.00 | $5,481.60 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.